A utilization outcome suggests but does not always reflect a change in health status. Some of these outcomes, such as acute care hospitalization, also relate to the utilization of healthcare services because of the change in health status. The data elements in the transfer and discharge assessments provide the specifics for calculating utilization [...]
Continue reading...Tue, Apr 20, 2010
Test your knowledge about OASIS-C outcome and process measure reporting. Identify whether each statement is true or false. a. Home Health Compare will not report every best practice an agency implements. b. The “physician-ordered plan of care” for M2250, plan of care synopsis, and M2400, intervention synopsis, refers only to the document, commonly known as the [...]
Continue reading...Fri, Apr 16, 2010
Q: If at start of care the answer to M1610 is 1- Patient is incontinent and then at discharge the answer is 2- Patient requires a urinary catheter, does our OBQI score show improvement, decline, or no change? A: The patient would show a decline in urinary incontinence. Although improvement in urinary incontinence remains an OBQI [...]
Continue reading...Tue, Mar 30, 2010
When the Centers for Medicare and Medicaid Services (CMS) released the first version of the revised OASIS, Beacon Health feared the incorporation of process data elements would create problems. It looks as though our fears have come to fruition. The very presence of these questions is driving agencies to change processes, which, in [...]
Continue reading...Wed, Mar 3, 2010
Last week’s post offered insight into different publicly reported outcomes. Here is a detailed list of exactly what will be reported. What will be reported? A. Process (7 domains, 13 measures) B. Potentially avoidable events (clinical domain, one measure) C. Utilization outcomes (utilization domain, two measures) D. End result outcomes (clinical and functional domain, seven measures) A. Process Measures (13) Timely Care: Timely [...]
Continue reading...Thu, Feb 25, 2010
Now that OASIS-C has been implemented, one of the biggest questions home health professionals have is how and when outcomes will be publicly reported. Here are some facts about public reporting and OASIS-C. Stay tuned for a more detailed list of all publicly reported measures next week. 1. Process Measure Outcomes Care process measures include timeliness, [...]
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Mon, Jul 19, 2010
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